| NPI | 1346227097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.09898) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 108945) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA09898NP) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-08-10 |